Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $20.83 / $38.56	Facility		$16.30	$20.83	$38.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.91 / $30.18	Professional		$16.30	$20.91	$30.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $48.83 / $95.74	Facility		$47.87	$48.83	$95.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $25.95 / $73.78	Professional		$25.95	$25.95	$73.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $39.89 / $39.89	Facility		$37.10	$39.89	$39.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Professional		$39.89	$39.89	$39.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.62 / $33.72	Professional		$24.62	$24.62	$33.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $107.71 / $332.00	Facility		$47.87	$107.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $35.42 / $86.17	Professional		$24.71	$35.42	$86.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $29.04 / $34.85	Professional		$27.69	$29.04	$34.85
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Professional		$19.46	$19.46	$19.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $555.00	Facility		$33.72	$33.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $71.25	Professional		$24.62	$33.72	$71.25
United Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $58.41 / $58.41	Facility		$58.41	$58.41	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $25.16 / $43.79	Professional		$15.92	$25.16	$43.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $27.69 / $27.69	Facility		$25.59	$27.69	$27.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $27.69 / $29.42	Professional		$27.69	$27.69	$29.42